NICOLE FORD (NP-C) – Family Nurse Practitioner, NPI 1588642771
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NICOLE FORD (NP-C)
3870, The Colbert, Omaha, Douglas County, Nebraska, 68131, United States
COLBERT, GA 306280459
Phone: (706) 788-3234
Type: Mailing
Charlie Morris Road, Madison County, Georgia, 30628, United States
COLBERT, GA 306282445
Phone: (706) 788-2127
Fax: (706) 788-2815
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,139.
Total Amount is formed as General ($1,139) + Research ($0) + Ownership ($0) = $1,139.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($268).
Total Amount
$1,139
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $268 |
| Amgen Inc. | $193 |
| ABBVIE INC. | $172 |
| ITI, Inc. | $121 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $65 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040928000793 | I | Nurse Practitioner | GA | TBD |
| I20200414002535 | I | Nurse Practitioner | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 30 | $0 |
Insurance plans in this area (ZIP 30628)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Family Practice | GA |
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